活体肝移植治疗布加综合征并下腔静脉狭窄

目的 报道笔者利用尸体下腔静脉（IVC）替代受体肝后IVC施行成人间活体肝移植（LDLT）治疗布加综合征（BCS）并IVC狭窄的经验。方法 1例35岁男性BCS并肝后IVC狭窄的患者，曾接受内科治疗，并于9个月前经放射介入置入金属扩张器，但症状无缓解。最终患者被施行了成人间LDLT，术中采用了尸体IVC替代受体肝后IVC进行重建。结果 患者术后过程平稳，效果满意。结论 笔者认为采用LDLT及利用尸肝IVC重建受者肝后IVC治疗BCS并肝后IVC狭窄的术式可推荐作为一种新的术式。

Living Donor Liver Transplantation for Budd-Chiari Syndrome Using Cryopreserved Vena Cava Graft in Posthepatic Vena Cava Reconstruction

Objective To report the author's experience with the first case of an adult-to-adult living donor liver transplantation (LDLT) for Budd-Chiari syndrome (BCS) using cryopreserved vena cava graft in postheptic vena cava reconstruction. Methods A 35-year-old male patient with a diagnosis of BCS complicated with inferior vena cava (IVC) obstruction received medical treatment and radiologic intervention for nine months, no relief of the symptoms could be achieved. Finally, the patient underwent LDLT, which required posthepatic vena cava reconstructed using cryopreserved vena cava graft. Results The patient has had an uneventful course since the LDLT. Conclusion We believe that LDLT combined with posthepatic IVC reconstruction using cryopreserved vena cava graft is considered to be a sound modality for IVC obstructed BCS.